Individual provider Active NPI

Stacy Lynn Witfill, DPM

  • Podiatrist
  • Dunnellon, FL
National Provider Identifier
1285815647
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2759 Issued in FL
Practice address
11786 Cedar St
Dunnellon, FL 34431-6770
Phone
(352) 489-6621
NPI assigned
Nov 14, 2007
Last updated
Jan 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2759 FL Primary

Addresses

Primary practice location

11786 Cedar St
Dunnellon, FL 34431-6770

Mailing address

PO Box 2633
Dunnellon, FL 34430-2633
Phone (352) 489-6621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000661 FL Practitioner - Podiatry 3274677224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11786 Cedar St
Dunnellon, FL 34431-6770
Phone (352) 489-6621

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue105
Removal of skin lesions12
Removal of nail tissue903
Removal or shaving of skin growth706
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2759FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dunnellon Podiatry Center P a Podiatrist CurrentSince Jul 1, 1999 Accepting new patients

Locations

11786 Cedar St
Dunnellon, FL 34431
Phone (352) 489-6621

Interoperability endpoints

  • Direct secure messaging: switfill@dpc.ssdirect.aprima.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1285815647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2633",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344302633",
            "telephone_number": "352-489-6621",
            "fax_number": "352-489-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 CEDAR ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344316770",
            "telephone_number": "352-489-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITFILL",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

Verify at the official NPI Registry.